Crossroads Treatment Center Of Louisville, Psc is a medicare enrolled primary clinic (Clinic/center - Methadone) in Jeffersontown, Kentucky. The current practice location for Crossroads Treatment Center Of Louisville, Psc is 1700 Cargo Ct, Jeffersontown, Kentucky. For appointments, you can reach them via phone at
(502) 749-6764. The mailing address for Crossroads Treatment Center Of Louisville, Psc is Po Box 749057, Atlanta, Georgia and phone number is (800) 805-6989.
Crossroads Treatment Center Of Louisville, Psc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1649797507. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(502) 749-6764.
Primary Care Clinic Profile
| Full Name | Crossroads Treatment Center Of Louisville, Psc |
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| Speciality | Clinic/Center |
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| Location | 1700 Cargo Ct, Jeffersontown, Kentucky |
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| Authorized Official Name and Position | Rupert Mccormac (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 8008056989 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Crossroads Treatment Center Of Louisville, Psc
Po Box 749057
Atlanta
GA 30374-9057
Ph: (800) 805-6989 | Crossroads Treatment Center Of Louisville, Psc
1700 Cargo Ct
Jeffersontown
KY 40299-1938
Ph: (502) 749-6764 |
NPI Details:
| NPI Number | 1649797507 |
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| Provider Enumeration Date | 08/23/2017 |
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| Last Update Date | 07/12/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7416382023 |
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| Medicare Enrollment ID | O20200108001559 |
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Medical Identifiers
Medical identifiers for Crossroads Treatment Center Of Louisville, Psc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649797507 | NPI | - | NPPES |
| 810552 | Other | KY | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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